The growing field of equine-assisted psychotherapy (EAP), a subfield of animal-assisted psychotherapy (AAP), needs theoretically-based clinical studies. This systematic review examines the existing clinical studies in adult populations on psychodynamic psychotherapy combined with equine-assisted psychotherapy. An electronic database search was divided in two studies to identify publications on 1) EAP combined with psychodynamic psychotherapy and 2) EAP combined to personality problems and traumatization in order to compile studies by population, intervention, outcome and therapeutic assets. Study 1 revealed no relevant clinical studies on EAP with a psychodynamic background with an adult population. Study 2 revealed 12 publications to review predominantly addressing veterans with PTSD. The methodological limitations of most of the studies restrain the overall findings on outcome. However, overall positive effects for EAP, specifically on its experiential features and on finding interpersonal trust for patients, can be discerned. There is an apparent need for clinical studies meeting methodological standards on psychodynamic underpinned EAP methodologies in adults with intertwined personality problems and traumatization.

中文翻译：

---

交织在一起的人格问题和创伤的成年人基于心理动力学的马辅助心理治疗：系统评价。

动物辅助心理治疗（AAP）的子领域马辅助心理治疗（EAP）的增长领域需要基于理论的临床研究。这项系统的审查审查了心理动力学心理治疗与马匹辅助心理治疗相结合的成人临床研究。电子数据库搜索被分为两项研究，以识别以下出版物：1）EAP结合心理动力学心理治疗，以及2）EAP结合人格问题和创伤，以按人群，干预，结果和治疗资产汇总研究。研究1揭示了没有心理动力学背景的成人EAP对EAP的相关临床研究。研究2显示了12篇出版物，主要探讨了与PTSD有关的退伍军人问题。大多数研究的方法学局限性限制了关于结果的整体发现。但是，可以看出EAP的总体积极作用，特别是对它的体验功能和对患者的人际信任的总体影响。显然，对于人格交织和创伤缠身的成年人，需要有符合心理动力学基础EAP方法论方法论标准的临床研究。